SPRING 2022 – Radiation treatment for patients with implanted medical devices
WINTER 2022 – Update of pre-treatment quality control procedure
FALL 2021 – Using an audit and feedback system to improve the accuracy of events entered into the NSIR-RT
SUMMER 2021 – Working towards improved quality and safety in radiotherapy treatment planning processes
SPRING 2021 – The importance of Equipment Integrity used in Brachytherapy Treatments
WINTER 2021 – The Importance of confirming patient identification during procedural changes (COVID-19-focused Bulletin)
FALL 2020 – The “impact” of dosimetric impact
SUMMER 2020 – Error reporting in a time of pandemic
SPRING 2020 – Using volume trend analysis to reduce incident propagation
WINTER 2020 – Second Victim: Supporting staff involved in radiation treatment incidents
FALL 2019 – Learning from Incidents in the use of MRI in the RT Environment
SPRING 2019 – Appropriate Policies and Procedures Can Help Mitigate Incident Occurrence
WINTER 2019 – Commissioning and Configuring Checks of Software Systems by a Second Medical Physicist
FALL 2018 – The Potential Impact of Scheduling Delays in the Delivery of Concurrent Chemoradiotherapy
SUMMER 2018 – Automation Bias in Radiation Treatment
SUMMER 2017 – NSIR-RT Pilot Evaluation Report
SPRING 2017 – NSIR-RT pilot: Using data to inform system improvement
SUMMER 2016 – How to Classify a Delay
FALL 2016 – Beyond BETA testing
NSIR-RT Safety Advisories
The National System of Incident Reporting – Radiation Treatment (NSIR-RT) is a tool developed by CIHI and CPQR allowing participating centres to report, track and analyze incidents from their local program, and anonymously from other Canadian centres.
Although CPQR reviews incident submissions to inform the radiation treatment community on important patterns and trends, and make recommendations to minimize or mitigate risk, incident submissions are not monitored for the purpose of identifying specific incidents warranting dissemination.
CPQR may respond to requests to disseminate safety advisories from provincial cancer agency leadership, where there may be action required by radiation treatment programs or the broader cancer community.
CPQR has made these safety advisories available online to encourage a culture of continuous quality improvement.